ISSN 2398-2977      

Spine: interspinous ligament - desmotomy

pequis

Synonym(s): ISLD


Introduction

  • Spinous process impingement or overriding is one of the most common causes of back pain in horses   Spine: spinous processes - overriding  .
  • There are a variety of conservative, medical and surgical treatments.
  • Desmotomy of the interspinous ligament (ISLD) aims to relieve tension on afferent nociceptive receptors in the ligament insertion and relieve pain (it may well be a form of neurectomy). It is combined with a controlled exercise program to re-establish spinal re-mobilization.

Print-off the Owner factsheet onKissing spines  Kissing spines  to give to your clients.

Uses

Advantages

  • Standing technique.
  • Simple technique with minimal equipment requirements.
  • Minimally invasive.
  • Less expensive.
  • High success rate and no recognized complications.
  • Up to 8 spaces have been treated simultaneously.

Disadvantages

  • None known at present.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • In one study, 95% of horses had alleviation of back pain and 82% had return to normal function over a three year post-operative assessment period.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Coomer R C et al (2012) A controlled study evaluating a novel surgical treatment for kissing spines in standing sedated horses. Vet Surg 41 (7), 890-897 PubMed.

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